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Pooja Patel

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    RF03 - Patient Empowerment: It's about Time! (ID 45)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Rapid Fire Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 5/28/2019, 02:30 PM - 03:30 PM, Pod 8
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      RF03.05 - SmartMom: Delivering Prenatal Education Through Text Messages in British Columbia (ID 441)

      Pooja Patel, Office of Virtual Health, Provincial Health Services Authority; Vancouver/CA

      • Abstract
      • Slides

      Only one third of women attend childbirth education classes in Canada. Women living in rural and remote areas of British Columbia (BC) cannot always access in-person education in their community. Pregnant women increasingly use the Internet and mobile apps for pregnancy and childbirth information, and we are cognizant that these are often developed by lay groups or for-profit organizations, which can be unreliable. SmartMom is Canada?s first evidence-based prenatal education program delivered by text messaging. SmartMom provides women with accurate, timely and relevant information based on their stage of pregnancy and directs them to local resources, all reacted by a group of researchers, clinicians, and allied health professionals. The program is endorsed by the Society of Obstetricians and Gynaecologists of Canada, BC Ministry of Health, and Optimal Birth BC. The main goal of SmartMom is to improve health literacy and motivate health behaviour change among pregnant women. Currently, it is implemented in the Northern (NHA) and Fraser (FHA) Health Authorities in British Columbia.

      Women who are pregnant, have access to Short Message Service (SMS) communication, and understand English can enrol in SmartMom. Pregnant women can enrol in SmartMom at any time during the pregnancy and can opt out at any point as well. They are invited, and asked for consent, to provide demographic information, complete a knowledge quiz and standard surveys about fear of childbirth and depression. An interim descriptive statistics analysis was conducted.

      As of August 9, 2018, 48 women living in the FHA and 210 women living in the NHA were enrolled in SmartMom, totalling to 258 women completing the enrollment surveys. In both groups, most women owned smartphones (FHA=100%; NHA=97.6%) and the average age of participants was twenty. Knowledge gaps were demonstrated through questions most often answered incorrectly, which included healthy weight gain during pregnancy (% incorrect: FHA=71.1; NHA=80.7) and the safety of caesarean section vs. vaginal birth for both mothers and babies (% incorrect: FHA=55.6%; NHA=54.4%). Participants? fear of childbirth, on a scale with a maximum of 66, averaged 34. Valuable information has been obtained highlighting knowledge gaps about childbirth and pregnancy and general confidence in labour and childbirth.

      Using innovative and patient-tailored approaches, the SmartMom program can address the knowledge gaps and childbirth fear identified in our analyses. SmartMom delivers reliable prenatal education in a format that meets the needs of pregnant women in British Columbia and beyond, especially for those living in rural and remote communities. Equitable prenatal education access remains an issue in Canada, and creative technology facilitates greater access and increased knowledge. Expansion and scaling-up of SmartMom is currently ongoing to other British Columbia health authorities and the Northwest Territories and is met with positive feedback from patients. Supported by clinicians with evidence-based roots, pragmatic and simple harnessing of technology can fill gaps and meet patient needs for prenatal education for pregnant women using SmartMom.

      140 Character Summary:
      British Columbian women are using SmartMom, Canada?s first evidence-based prenatal education program delivered by text messaging.

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